Organization
BERNADETTE S. KOVACH PH.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE STARR KOVACH PH.D. (SOLE PROPRIETOR)
(734) 812-1157
Entity
Organization
Contact information
Practice address
31731 NORTHWESTERN HWY STE 110E, FARMINGTON HILLS, MI 48334-1654
(734) 812-1157
Mailing address
5675 WOODLAND PASS, BLOOMFIELD TWP, MI 48301-1230
(734) 812-1157
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301012246
MI
103TP0814X
Psychoanalysis Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548336324
NPPES
MI
01
—
680H231360
BCBS
MI
01
—
OH073475
BCBS
MI
Enumeration date
08/23/2009
Last updated
02/12/2024
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